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Hundreds of thousands of Australians live with the dire aftermath of having been institutionalised as children in the national 'Care' network of orphanages and children's homes. In 2023 the Australian Orphanage Museum (AOM) was opened, both to memorialise the experiences of children whose early lives were blighted by out-of-home Care (OOHC), and to facilitate activism aimed at gaining justice for those now-adult Care-leavers. The article in part utilises the author's lived experience as a Care-leaver activist to summarise the rise of Care-leaver activism, placing it in a heritage context as it applies to the institutions themselves. It examines the role of the AOM in collecting and displaying apparently mundane objects that have profound meaning for individual stakeholders, and in preserving archival material documenting the early activist groups. Various forms of past and contemporary Care-leaver activism are discussed, and examples of successful and less successful campaigns are examined. The AOM is shown to perform a vital role in providing affirmation for Care-leavers, advocating on their behalf to the wider community, and working in conjunction with other activist groups and projects to aid researchers in the field. [ABSTRACT FROM AUTHOR]

High child protection caseworker turnover diminishes care quality. While burnout is acknowledged, the impact of protective factors is unclear. This study examines caseworkers' burnout, individual resilience's protective role, and strategies for curbing turnover and preserving work-life balance. Results indicate that personal, work, and client-related subscales correlate highly. The moderating effect of resilience on burnout was significant yet marginal. Maintaining boundaries was the primary core theme reported in relation to strategies to maintain work-life balance. The results of this study highlight potentially modifiable factors likely to reduce caseworker turnover. Findings support the need for a collective re-evaluation of resilience as an individual responsibility to something that can be supported and fostered within the workplace for increasing employee retention. [ABSTRACT FROM AUTHOR]

Young people in residential care in Australia have generally experienced significant childhood trauma and neglect. Consequently, they present with a range of complex and challenging behaviours that pose a risk to themselves and others. Numerous reports have emphasised the need for trauma therapy for children; however, young people in residential care frequently do not access effective therapeutic services. In this article, the authors detail and reflect on the implementation of a treatment package of the Sleeping Dogs method plus Eye Movement Desensitisation and Reprocessing (EMDR) to engage young people living in residential care in EMDR therapy to process their complex trauma. IMPLICATIONS An integrated treatment package of Sleeping Dogs method with intensive EMDR can overcome the barriers to the successful implementation of evidence-based trauma treatment with young people living in residential care. Implementation requires collaboration between all systems surrounding the young person and compassionate engagement with families and carers. [ABSTRACT FROM AUTHOR]

This article critically examines safety and innovation in out-of-home care, with a particular focus on addressing the entrenched overrepresentation of Aboriginal and Torres Strait Islander children and young people in the child welfare system. Grounded in the practical insights of safe house workers and managers, the purpose of this article is to share an innovative practice case study—the Tangentyere Safe House in Alice Springs, Northern Territory, Australia. As a case study within an Aboriginal Community-Controlled Organisation, Tangentyere Safe House emerges as a site for understanding the confluence of cultural safety, familial connections, and strategies to mitigate overrepresentation. Key themes explored include promoting cultural safety and supporting connections with the family of origin. Through a methodological lens that privileges practice-based knowledge, this article captured the on-the-ground experiences of those actively engaged in child safety. The findings underscore the innovative practices employed by Tangentyere Safe House in navigating out-of-home care within an Indigenous context to argue for a holistic and culturally informed approach to child protection interventions, drawing attention to the practical strategies employed by safe house workers. The article showcases the central role of Aboriginal Community-Controlled Organisations in providing care alongside families in out-of-home care. IMPLICATIONS The innovative approach of the Tangentyere Safe House highlights the importance and unique role of Aboriginal Community-Controlled Organisations in out-of-home care. The role of Aboriginal Community-Controlled Organisations should be formally recognised in the Aboriginal and Torres Strait Islander Child Placement Principle hierarchy. Frontline safe house workers' knowledge and expertise regarding Aboriginal and Torres Strait Islander children in out-of-home care can inform all stakeholder involvement including police interventions. [ABSTRACT FROM AUTHOR]

Children and young people who live in out-of-home care (OoHC) can display aggressive behaviours when their emerging self-regulation and executive functioning systems are overwhelmed. Consequently, their carers can experience incidents that may cause some carers' ongoing stress symptoms. Early intervention with occupational health supports is important; however, including a specific trauma treatment such as Eye-Movement Desensitisation and Reprocessing (EMDR) is unusual. EMDR supports the resolution of stress symptoms and helps carers promote a stable home environment. Stability contributes to calm home environments and incident reduction. The purpose of this mixed methods study was to better understand the inclusion of EMDR into a workforce wellbeing model and explore changes in incident numbers in houses, staff retention, and time-loss injury. Interviews with senior managers and focus groups with therapeutic practitioners from two Australian states were conducted. Descriptive statistics for administrative data were calculated after a quantitative audit. Several programs including EMDR and occupational health policies were working towards enhanced workplace safety. A reduction in the monthly average incident rate from 11.9 (2019–2020) to 6.9 (2022–2023) was identified. Offering an effective treatment to staff that promotes wellbeing, retention, and stability in care homes may be a critically important policy recommendation for organisations with staff at risk of traumatic incidents. IMPLICATIONS Eye -Movement Desensitisation and Reprocessing (EMDR) is an effective trauma therapy that works for residential out-of-home care staff. EMDR enhances carers' emotional wellbeing and capacity when working with the young people in their care. More stable relationships between carers, children, and young people can lead to reductions in stressful workplace incidents and a more stable workforce. [ABSTRACT FROM AUTHOR]

The importance of acknowledging the grief and loss integral to the experiences of foster carers, has long been understood. However, in a complex area of practice and an increasingly pressured out-of-home care sector, there is a need to refocus foster care program and practitioner attention on supporting carers and their families with the difficult experience of placements ending. This article reports on findings from research that aimed to understand current carer experiences of grief and loss, their coping strategies, their support needs, and the implications for a foster care agency's duty of care towards its workforce. Through a mixed-methods exploratory methodology, data were collected through an online survey and semistructured interviews with carers affiliated with a foster carer provider operating across three Australian jurisdictions. Carers called for acknowledgement of the deep feelings they develop for the children they look after and help for the grieving process, through training, preparation, and tailored support based on authentic relationships with professionals. The need for well-trained and strongly supported agency workers was emphasised. IMPLICATIONS Providing updates to carers about foster children who have left their care can alleviate the pain of grief and loss. Training, preparation, and step-by-step support for carers can promote healthy grieving processes. Tailored support for grieving carers needs to be founded on authentic relationships with foster care professionals and open and honest communication. [ABSTRACT FROM AUTHOR]

The overrepresentation of Aboriginal and Torres Strait Islander (respectfully referred to hereafter as "Aboriginal") children in the child protection system is a concern in Australia, with Aboriginal children placed in out-of-home care at a rate 11 times that of non-Aboriginal children. This study utilised linked administrative data to determine the longitudinal child protection pathways from birth to age 10 years for a cohort of 15,815 Aboriginal children born in Western Australia between 2000 and 2006. In total, 9,269 (59%) children did not have any contact with child protection between one year prior to birth and their 11th birthday. Conversely, 6,546 (41%) Aboriginal children were involved with child protection during the study period, with 1,405 (9%) children placed in out-of-home care. Infants who had a child protection notification were more likely than other age groups to have a substantiated notification of abuse and neglect and placed in out-of-home care. More than half (56%) of all children were predominantly placed in kinship care; however, only 22% had their first placement with kinship carers. Aboriginal-led strategies together with the support and commitment of all levels of government are required to reduce entry into care and improve outcomes for Aboriginal children in care. IMPLICATIONS Aboriginal-led strategies and wholistic responses can reduce the overrepresentation of Aboriginal children reported to child protection systems, and support families and communities. Infancy stands out as a key point of system involvement. This stage offers an opportunity where early intervention and family support strategies may prevent first time involvement with the child protection services and promote kinship placement, reunification with parents, and community-led supportive care. [ABSTRACT FROM AUTHOR]

For more than three decades, official and independent enquiries have documented the poor outcomes experienced by many young people transitioning from out‐of‐home care (OOHC) in Australia, known as care leavers. Yet, until 2017, most of the state and territory governments cut off financial support to these vulnerable young people at no later than 18 years of age and failed to provide them with the ongoing material and relationship assistance into early adulthood guaranteed to most of their non‐care peers. Australia was regarded internationally as a leaving care laggard. This paper examines the remarkably effective advocacy strategies used by the Home Stretch campaign, formed in 2016, to persuade all Australian jurisdictions to extend OOHC until 21 years. By the end of 2022, every state and territory had agreed to introduce some form of extended care, and Australia was recognised as a global leader in leaving care policy and programmes provision. [ABSTRACT FROM AUTHOR]

Concern exists that the growing over-representation of Aboriginal and Torres Strait Islander children and young people in out-of-home care (OOHC) across Australia is perpetuating historical, discriminatory child removal policies and practices. The disproportionate number of Indigenous children in OOHC is increasing at the same time as growing multi-jurisdictional policy and legal mandate for Indigenous self-determination, leadership, and cultural connectedness in the OOHC space. This study aims to provide evidence and instruction to social work educators, policymakers and practitioners in Australia's complex child protection, wellbeing, and justice systems about why and how Aboriginal and Torres Strait Islander-controlled organizations are best placed to lead OOHC service delivery for Indigenous children, their family and community. The qualitative research, located in Queensland, engages the knowledge and experience of Elders, Indigenous child safety professionals and Aboriginal and Torres Strait Islander young adults who have recently exited OOHC to explore the importance of Indigenous-led OOHC service provision for generating genuine, intergenerational systemic change. Ten themes or authoritative Directives to non-Indigenous stakeholders are elicited and discussed. The paper concludes with three recommendations that press for a shift in the Western values and practices that underscore the monitoring and evaluation of Indigenous-led OOHC service providers by government. [ABSTRACT FROM AUTHOR]

Large numbers of children in Australia are in long-term out-of-home care (OOHC). Legal frameworks available for their care are long-term foster care, guardianship, and plenary adoption. Views of individuals with OOHC or adoption experience on these legal frameworks were explored via an online survey. A legal framework called simple adoption, which makes children legal members of adoptive families without legally excising them from birth families, was also considered. The respondents (N = 1019) evaluated aspects of these frameworks as strengths or weaknesses from which scores were calculated. Overall, simple adoption had the highest strength score, followed by plenary adoption, guardianship, and long-term foster care. The highest weakness score was for long-term foster care, followed by guardianship, plenary adoption, and simple adoption. That simple adoption enabled enduring familial relationships between children and their adoptive families while retaining legal identity and legal connection with birth families contributed to its favourable evaluation. IMPLICATIONS The legal severance of children from birth families and the supplanting of legal identity that occurs in plenary adoption makes this form of adoption unacceptable to many. Simple adoption, allowing for children to be full legal members of both their adoptive and birth families and preserving legal identity, makes it attractive to individuals with a variety of experience backgrounds. An exploration of legislative reform to allow for simple adoption in Australia should be undertaken. [ABSTRACT FROM AUTHOR]

Purpose: There is a growing recognition of the urgency to enhance health outcomes for children and young people residing in out-of-home care (OOHC). Research underscores the need to establish effective pathways to quality health care for children and young people who have been exposed to trauma. Child protection (CP) practitioners should play a vital role in proactively improving health outcomes and navigating the intricacies of healthcare systems. Their involvement in initiating and collaborating on healthcare interventions is pivotal for the well-being of these vulnerable children and young people. However, challenges associated with poor health literacy and the complexities of healthcare systems hinder collaborative service delivery in the Australian context. This review explores how CP practitioners support the health care of children and young people in their care. Design/methodology/approach: A scoping review followed Arksey and O'Malley's framework, employing a narrative synthesis to assess the selected studies. Findings: Health outcomes for children and young people in OOHC remain under-researched and potentially under-resourced within the realm of CP practice. There is room for enhanced practices and system integration in CP service delivery to better address health needs and prevent further health and well-being disparities. Originality/value: Through this scoping review and involving industry experts in the discussion of findings, this study contributes valuable insights to the existing knowledge base regarding the active participation of CP practitioners in addressing the healthcare needs of vulnerable children. [ABSTRACT FROM AUTHOR]

Purpose: Communication difficulties are more common in children or young people (CYP) who have lived in out-of-home care (OOHC) compared to the general population. Principles of family-centred practice (FCP) are frequently utilised by speech-language pathologists (SLPs) when working with CYP with communication difficulties. The aim of this scoping review was to describe how the principles of FCP are applied in the literature to speech-language pathology practice with CYP aged 0–18 in OOHC in Australia. Method: A scoping review protocol was applied to identify published literature related to Australian speech-language pathology practice with CYP in OOHC. Four databases were searched with no date limitations and five publications were included after quality appraisal. Result: Data extraction and thematic analysis identified several major themes: sharing information, liaison and working together, and responding to the CYP's behaviour as non-verbal communication to inform decision making. However, only one study referenced FCP explicitly. Conclusion: The review found that Australian SLPs are implementing FCP when working with CYP with communication difficulties in OOHC. However, scope for potential improvement was identified in the application of FCP principles with respect to the CYPs' birth parents and cultural representatives, as well as the goal setting and evaluation phases of the clinical cycle. [ABSTRACT FROM AUTHOR]

Children and young people's access to and engagement in education is a key determinant of future positive outcomes. Children and young people in out-of-home care disproportionally experience educational disruptions and disengagements affecting their ability to participate in schooling, further and higher education. There is increasing international interest in the participation of young people with lived experience of out-of-home (OOHC) in research projects. This paper presents the findings of a study in the Australian state of Victoria where a group of lived experience consultants (LECs) were employed to consult on the results of a broader survey of the attitudes of professionals, carers and care leavers regarding the educational experiences of children in OOHC. Two meetings were held with the LECs, one to gain their views on the survey findings, and secondly, to reflect on their experiences working on the project. The findings suggest that formalizing the engagement of lived experience voices in research, inherently a qualitative approach, promotes a more informed representation of the challenges faced by children and young people within OOHC. In this case, engaging young adults with lived experience helped identify key barriers to effective educational participation that the project design may otherwise have overlooked. They also identified key strategies for improving LEC engagement such as involving them in developing key research aims and questions, and enabling the provision of a 'safe space' for them to participate. This new approach promotes co-design at multiple levels, providing opportunities for a meaningful collaborative approach to research. [ABSTRACT FROM AUTHOR]

Aboriginal and Torres Strait Islander cultures are integrated into child protection and out-of-home care (OOHC) systems via the connection element of the Aboriginal and Torres Strait Islander Child Placement Principle (ATSICPP). This article focuses on cultural connection in Australian child protection and OOHC systems over time, from its inception to its contemporary use to improve health and wellbeing and ameliorate cultural disconnection. An expanded understanding of cultural connection in Australian OOHC systems is articulated where cultural connection is theorised as a process of culturally connecting, while a critical position concerning the risk of cultural disconnection in OOHC is held. Indigenous cultures are fundamental to individual and community health and wellbeing. However, cultural connection in Australian OOHC systems risks becoming a site of bureaucratic policy compliance to ameliorate the effects of cultural disconnection produced by disproportionate First Nations child removals. This article illuminates this critical position while theorising how culturally connecting can be better understood in OOHC. IMPLICATIONS Cultural connection for First Nations children and young people is important for health and wellbeing, but is poorly understood in child protection and out-of-home care contexts. Cultural connection includes a community element, where culture acts as a point of distinctiveness to show that Indigenous peoples are surviving. At this juncture, cultural connection is a tool to resist the assimilatory impacts associated with ongoing child protection removals. Cultural connection can be understood as a complex journey of connecting for First Nations children and young people. [ABSTRACT FROM AUTHOR]

Practising self-care is vital for foster carers to cope with the stresses of the caring role, provide the best care possible and continue in their task. This current study contributes to emerging research on the self-care practices of foster carers in Australia and worldwide. It used an exploratory design, surveying 148 foster carers about their self-care and conducting individual, semi-structured interviews enabling nine of them to elaborate on their self-care experiences. The results indicate that while the participants sometimes engage in self-care and value it as a way of maintaining their wellbeing and increasing their caregiving capacity, they face several barriers to doing this. These include the multiple responsibilities of the foster carer role, children's commitments, employment and finances. Facilitators of self-care include social and family support, contact with other carers and carer respite. Foster care agencies and the out-of-home care system should aim to meet the self-care needs of carers by providing increased support, resources and education. Plain language summary: Self-care is important for all individuals and vital for those providing care to children in out-of-home care who often have complex and challenging needs. This study asked 148 foster carers in Australia what they did to practise self-care. Foster carers demonstrated an understanding that self-care is important and a desire to practise regular self-care. However, they identified many barriers to engaging in self-care. This article explains why and how foster carers practise self-care, what prevents self-care from occurring and how to improve foster carers' self-care practices. [ABSTRACT FROM AUTHOR]

Legislative provisions for accepting unborn child reports into the child protection system in Australia have coincided with a noticeable rise in the number of infants entering care. This article collates information on the child protection process during pregnancy based on a desk review of relevant public primary sources. The effectiveness of child protection during pregnancy in reducing statutory intervention at or following birth and avoiding unintended consequences is also explored through an examination of relevant child protection data, reviews, and research. The summary revealed some differences in the process of making, accepting, and responding to an unborn child report across Australia. The knowns about child protection during pregnancy include a high rate of unborn child reporting, a high proportion of children involved in unborn child reports who are subsequently admitted to care, and a disproportionate representation of Indigenous children in these statistics. The knowledge gaps include the circumstances of parents involved in unborn child reports who are approached by child protection and when; parents who refuse to engage; parents who are provided advice and support; and the outcome of these cases. Some aspects of child protection practice during pregnancy, including information sharing, risk assessment and case planning, and parental engagement and partnership throughout the process represent further knowledge gaps. IMPLICATIONS Attention to the high rate of unborn child reporting to child protection in Australia and to the differences in procedures for responding across the states and territories is needed. The high proportion of children involved in unborn child reports who are subsequently admitted to care, and the disproportionate number of Indigenous children who are represented in unborn child reports, substantiations, and care entries during infancy need to be addressed. There is a need for further research on child protection practices during pregnancy and case outcomes to maximise safe pregnancy journeys. [ABSTRACT FROM AUTHOR]

Contact visits, or family time, enable children in out-of-home care to sustain relationships with their birth families. In Australia, direct contact including face-to-face visits is typical for children on long-term orders, including guardianship and open adoption. Caseworkers are charged with supporting relationships between children's birth family members and carers and ensuring contact is safe and child-centred. This article describes how people with lived experience of family time in out-of-home care have collaborated with researchers to co-design practical resources, in the context of an action research study aimed at changing caseworker practice. These resources include a book for young children and a book for older children and adolescents, which both use trauma-informed language and empower their audiences to know their rights and ask for what they need. Additional resources include co-designed tip sheets for family members and carers. People who have personally experienced the care system have unique insights into the experience of family time in out-of-home care and how it can be improved. In partnership, researchers and people with lived experience can identify the gaps in knowledge and practice resources, and co-design resources that integrate lived experience and research findings, underpinned by theory. [ABSTRACT FROM AUTHOR]

In recent years, social network analysis has had its own distinctive theoretical and methodological underpinnings. This article proposes a novel method for the application of a fused mixed-methods approach and social network analyses that incorporates the critical aspects of numerous characteristics of children's social development in a statutory care setting. We collected data from children involved in the Mockingbird Family out-of-home care model, following its implementation in Australia. Our approach involves three steps: social-developmental network indicators, relational dynamics, and social-developmental network narrative. We contend that this approach has the potential to provide powerful data representation that facilitates the understanding of the complexities of children's social development, the links between different positions and roles of children, and their social network in the Mockingbird family. Using exemplars, we show the potential of the research method to unearth rich data for seeking to understand the system change important for strengthening children's safe and protective environments. [ABSTRACT FROM AUTHOR]

Summary: Health outcomes for young people living in residential out-of-home care are poor. There has been increased emphasis on the need to prioritize preventative support and upskill residential care workers to better meet young people's health needs. The aim of this study was to examine the food quality and physical activity environment in residential care houses in Victoria, Australia prior to staff undertaking Healthy Eating, Active Living Matters (HEAL) training; 102 residential care houses participated. House representatives completed an online survey exploring: (1) physical activity equipment and engagement and (2) weekly food budget and expenditure. Findings: The average weekly food expenditure per household was $318.98 (SD = $106.51), with variation between different sized households. The majority (61%) of houses' weekly food expenditure was spent on ultra-processed food products that are ready to eat with no/little preparation, in comparison to 36% spent on unprocessed foods (fresh fruit and vegetables). The majority of houses reported having two types of equipment. Young people were not often engaged in physical and/or recreational activities in their community. Application: Residential care houses in Victoria require additional supports to ensure that young people are supported to eat well and be active at home and in the community. HEALing Matters aims to provide this, by offering professional development for residential carers to better facilitate engagement in physical activity and healthy eating among the young people in their care. If successful, HEALing Matters may provide an effective pathway to improved health and wellbeing outcomes for young people in residential care. [ABSTRACT FROM AUTHOR]

Maltreated children are vulnerable to adverse mental health outcomes. Information about how children's mental health needs vary according to different levels of child protection contact (potentially culminating in out-of-home care [OOHC]) is valuable for the effective provision of services. This study aimed to examine associations between different levels of contact with child protection services before the age of 10 years and self-reported mental health difficulties at age 11 years. Participants (n = 26,960) were drawn from the New South Wales Child Development Study, a multiagency, multigenerational, longitudinal record linkage study that combines administrative records with cross-sectional survey data. We examined associations between four levels of child protection response (non-threshold reports, unsubstantiated reports, substantiated reports, OOHC; each relative to no report) and six domains of self-reported mental health difficulties (including internalising and externalising symptoms, and psychotic-like experiences). All levels of contact with child protection services were associated with increased odds of mental health difficulties in all domains. Children who had been placed in OOHC and children with substantiated reports had the highest odds of reporting clinical levels of mental health difficulties; 48.1% of children with an OOHC placement and 45.6% of those with substantiated child protection reports showed clinical levels of mental health difficulties in at least one domain. Children with child protection reports that were unsubstantiated, or determined not to meet the threshold for risk-of-significant harm, were also at increased risk of mental health difficulties in middle childhood. These findings underscore the importance of early detection and intervention for all children at risk of maltreatment. [ABSTRACT FROM AUTHOR]

Unaccompanied humanitarian refugee minors (UHRMs) are recognized globally as a vulnerable group due to their traumatic experiences in their country of origin, and distinct challenges resettling in a new country with limited if any family supports and ambiguous legal status. To date, there has been little research on their experiences within the out-of-home care (OOHC) system in Australia. This paper presents the findings of a small exploratory study, based on semi-structured interviews with young people and support workers, examining the factors that influence the outcomes when transitioning from OOHC at no later than eighteen years. The findings suggest that the availability of social support networks plays a key role in enabling them to access their core housing, education, employment and health care needs. [ABSTRACT FROM AUTHOR]

The overrepresentation of Aboriginal and Torres Strait Islander (hereafter, Indigenous) children in Australian child protection and out-of-home care systems is not a new phenomenon. While there are growing concerns over a second Stolen Generations, this perspective article highlights the continuity of overrepresentation, and systemic racism, in Australian child protection and out-of-home care systems over time. In highlighting the continuities between past and present child welfare practices, this article demonstrates that systemic racism is an ongoing feature of Australian child protection and out-of-home care systems which drives overrepresentation. Indigenous ownership of solutions, and radical transformation, are required to disrupt this status quo. [ABSTRACT FROM AUTHOR]

Foster and kinship carers play an integral part in establishing oral health promoting behaviours and managing the oral health issues of children in out-of-home care (OOHC). This study aimed to explore the knowledge, experiences and support needs of Australian foster and kinship carers in maintaining the oral health of children living in OOHC, using semi-structured interviews with eight purposively sampled carers. Results showed that the participants understood the importance of good oral health for general well-being and were motivated to implement good oral hygiene practices with the children in their care. The challenges encountered by foster and kinship carers included: a lack of information from foster care agencies regarding the oral health needs of children; difficulty in the pre-approval processes for dental treatment; and poor communication between carers and foster care agencies. Systemic challenges included: transience and frequent changes in the child's foster placement; long waiting lists for dental treatment; and lack of dental professionals. We conclude that foster and kinship carers need support to promote the oral health of children in OOHC and that systemic barriers must be identified and addressed. [ABSTRACT FROM AUTHOR]

Despite the clear benefits of engaging in regular physical activity (PA), research suggests that young people in Out-of-Home Care (OoHC) are less likely to achieve the recommended levels of PA than their same-aged counterparts in the general community. To date, there has been limited examination of the barriers to PA engagement specific to young people living in residential OoHC. This qualitative study aimed to better understand the barriers and/or challenges to regular PA engagement for young people in residential OoHC. The voice of young people, residential care staff, and key stakeholders in the OoHC sector were included through the use of interviews and focus groups. Three key barriers were identified including: (1) the residential OoHC setting is not conducive to PA; (2) young people require additional support to be physically active; and (3) there are community barriers which impact young people's engagement in PA. Discussions identified a number of individual barriers or challenges faced by young people, which are impacted or exacerbated by the barriers faced at the system and community level. Findings suggest there is a need for governments, agencies involved in OoHC and community sports and recreation facilities to re-examine current practices and policies and address barriers related to workloads of residential care staff, funding, resource allocations, and capacity to support young people's participation in PA. The need to take action is urgent and warranted. It is recommended that future intervention approaches develop innovative partnerships—that bring together research, practice, community, and policy resources—to ensure access to PA does not become an equity issue for YP living in residential OoHC. [ABSTRACT FROM AUTHOR]

Introduction: Despite the increasing overrepresentation of Aboriginal and Torres Strait Islander (hereafter respectfully referred to as First Nations) children living in out-of-home care (OOHC) in Australia, little is known about their wellbeing needs. This comprehensive literature review aimed to identify these needs and the features of care required to meet them., Methods: MEDLINE, CINAHL, Scopus, Informit, PsycINFO, and Embase databases and relevant grey literature were searched from inception to December 2023 for articles presenting qualitative accounts and perspectives relevant to the wellbeing needs of First Nations children in OOHC. These included reports from First Nations children in OOHC; First Nations adults with lived experience of OOHC; carers, caseworkers, and organizational stakeholders; and First Nations community members with relevant lived and/or professional experience. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and Braun and Clarke's reflexive thematic analysis method for data analysis., Results: Thirty-five articles (19 peer-reviewed, 16 grey literature) met the inclusion criteria. Our analysis revealed six wellbeing needs of First Nations children in OOHC: Being seen, being heard; a sense of stability; holistic health support; social and cultural connections; culturally safe OOHC providers; and preparedness for transitioning out of care . A range of features of OOHC were also identified as critical for supporting these needs., Conclusions: Our findings suggest that First Nations children in OOHC have unique wellbeing needs in addition to safety, security, and health. Attention to the development and maintenance of social and cultural connections is an important concern that must be addressed by OOHC providers (caseworkers and organizations) and carers and supported by OOHC policy and the associated systems in Australia as part of providing culturally safe and supportive care.

Care‐experienced young people demonstrate significantly poor physical, social and mental health outcomes during and beyond their time in care, yet they have rarely been consulted or included in research examining their health needs to date. This qualitative paper explores care‐experienced young people's perceptions of health in care, including accessing healthcare and interacting with health professionals. The research methodology was informed by a co‐design approach through consultation with care‐experienced young people. Semi‐structured interviews were conducted with 10 young people. The findings revealed that: (1) the care system does not nurture young people's health; (2) young people in care experience difficulty accessing and navigating a complex health system; and (3) young people are not given a voice when it comes to their health. The findings provide key recommendations for practice, including the empowerment of young people through positive, responsive and trusting relationships to prioritise the health of young people in care. [ABSTRACT FROM AUTHOR]

This article draws on the lived experiences and perspectives of young people and practitioners in therapeutic residential care to examine what constitutes relationship-based practice. Eight young people and twenty-six practitioners across three residential care services in Australia participated in this qualitative study. Framework analysis identifies that personalised engagement, a delicate balance between care and control, and perseverance through turbulent times are conducive to relationship-based practice in therapeutic residential care. Relationship-based practice is also found to be employed in a unique historical and relational context that demands mindful navigation through three specific professional boundary issues including self-disclosure, over-identification and physical contact. Against this context, relationship-based practice in therapeutic residential care is considered a 'double-edged sword', offering practitioners copious opportunities to build connections with young people in informal environments whilst needing to mitigate multiple ethical ambiguities. Implications for practice include the need to safeguard the 'do no harm' priority whilst resisting defensive or detached practice. Contextualising relationship-based practice within an ethical practice framework to embed ethics work in day-to-day practice becomes paramount. [ABSTRACT FROM AUTHOR]

Contact between children in care and family members is complex and often emotionally difficult for all concerned. In the context of a wider Australian cross-jurisdictional intervention trial, focusing on contact between children in long-term care and their parents, a snapshot survey of 901 children in Victorian foster care and kinship care placements was undertaken. The aim was to determine which children had seen parents, siblings or extended family members within a 12-month period, and how practitioners explained lack of contact between children and their parents. The study found that most children had had contact with parents or other family members, though children in long-term care were less likely to have seen their parents than those where reunification was still a possibility. Practitioners' views on why parental contact had not occurred for 18% of the sample illustrate the complexity of the issues involved in contact. IMPLICATIONS To support children's best interests, professionals should be clear about the purpose of family contact and provide support appropriate to that purpose. With children in long-term care less likely to see their parents, professionals have a role in helping these parents adjust to a new role. Developing strategies to maintain meaningful connections between children in long-term care and their parents may be more effective for children's best interests than the current emphasis on actual visits. [ABSTRACT FROM AUTHOR]

From 2012 to 2014, we developed and subsequently evaluated the Healthy Eating, Active Living (HEAL) intervention—an obesity prevention and healthy lifestyle program designed for young people living in residential out-of-home care (OoHC). Based on quantitative (i.e., a randomised trial) and qualitative (i.e., semi-structured interviews) data and an iterative process of redevelopment, the program has evolved from taking a behavioural obesity prevention approach to now being underpinned by a trauma-informed care approach at a systems level. In this paper we outline the theoretical and empirical foundations of the HEALing Matters intervention that is currently being implemented at scale. In addition, we outline how our knowledge translation framework informed the iterative improvement of our intervention with a focus on stakeholder and end-user engagement, partnership, and codesign along the way. IMPLICATIONS There is a strong need for trauma-responsive health-focused programs and interventions within OoHC contexts. HEALing Matters addresses the need for trauma-informed approaches that encourage health behaviour change in young people living in OoHC. Policy, standards, and recommendations must not only acknowledge, but prioritise, the impact of trauma on health-related lifestyle behaviours in order to identify strategies to help address this impact. [ABSTRACT FROM AUTHOR]

Purpose: This paper aims to report on the findings of a qualitative study that explored the views of 53 service providers assisting Indigenous young people (known in Australia as Aboriginal and Torres Strait Islander youth) transitioning from out-of-home care (OOHC) in Australia. Design/methodology/approach: A qualitative approach was adopted involving semi-structured interviews and focus groups with 53 representatives of state and territory government departments, non-government organisation service providers and Aboriginal community-controlled organisations (ACCOs) across Australia. The project was designed to gain the perspectives of those working within the system and their views on how it interacts with Indigenous care leavers. Interview questions aimed to ascertain the strengths and weaknesses of the leaving care support systems available to this cohort, as well as the key challenges facing service providers in supporting them. Finally, the study aimed to make recommendations for policy development in this area and identify potential best practice service responses. Findings: The study found that the OOHC service systems continue to fail Indigenous care leavers, their families and communities. Study findings revealed that Indigenous care-leavers face substantial challenges and that the support systems for those leaving OOHC are often culturally insensitive and ineffective. Many Indigenous OOHC leavers lacked the supports they needed to develop safe and ongoing relationships with their traditional Country, family and communities. To promote more positive transitions and outcomes, effective practice responses were identified, including culturally safe programmes and proportional funding for ACCOs to advance greater self-determination. Originality/value: This research is the first national study in Australia to examine the specific transition from care pathways and experiences of Indigenous young people. The findings add to the limited existing knowledge on Indigenous care leavers globally and should inform practice and policy innovations with this cohort in Australia and beyond. [ABSTRACT FROM AUTHOR]

Repeat removals, where parents lose successive infants and children to out-of-home care, is a systems problem requiring a systems approach to broaden our thinking and expand our choices for action. A transdisciplinary group of key stakeholders in Australia jointly constructed a causal loop diagram to bring forth the systemic structure underlying the issue and identify system conditions that need to be altered. Analysis of the causal loop diagram surfaced eight dynamic positive feedback loops which result in a self-reinforcing system. While the model reflects the understanding of a relatively small group and requires further testing, it adds to current conceptualisations of repeat removal by hypothesising systemic causes and offers new directions for prevention. Stakeholders homed in on stigmatised stereotypes of recurrent birth mothers and the child protection culture, practitioner decision-making, parent–practitioner interactions and parental participation in child protection case planning as ways of correcting against vicious feedback loops. A systems approach contributed useful insights into the problem of repeat removals and could productively be used in respect of a range of other complex child protection challenges. [ABSTRACT FROM AUTHOR]

Researchers have examined sub-groups that may exist among young people transitioning from out-of-home care (OHC) using various theoretical models. However, this population group has not been examined for trajectories of homelessness risk. To examine whether different subtypes of homelessness risk exist among young people transitioning from care and whether these trajectories of homelessness are associated with mental health and substance use disorders. A retrospective population-based cohort study was conducted from a population of 1018 young people (aged 15–18 years) who transitioned from out-of-home in 2013 to 2014 in the state of Victoria, Australia, with follow-up to 2018. Latent Class Growth Analysis was conducted using linked data from homelessness data collections, child protection, mental health information systems, alcohol and drug use, and youth justice information systems. Three sub-groups of young people were identified. The 'moving on' group (88 %) had the lowest levels of homelessness, with the slope of this trajectory remaining almost stable. The ' survivors' (7 %) group started off with a high risk of homelessness, followed by a sharp decrease in homelessness risk over time. The ' complex' (5 %) group started off with a low risk of homelessness but faced sharp increases in the risk of homelessness over time. Our study demonstrates that subgroups of young people transitioning from care exist with distinct longitudinal trajectories of homelessness, and these classes are associated with different risk factors. Early intervention and different approaches to tackling homelessness should be considered for these three distinct groups before transitioning from care and during the first few years after leaving care. [ABSTRACT FROM AUTHOR]

The Pathways of Care Longitudinal Study (POCLS) is the first large-scale prospective longitudinal study of children and young people in out-of-home care in Australia. It includes a cohort of all 4126 children and young people (age 0 to 17 years) who entered out-of-home care for the first time over an 18-month period from May 2010 to October 2011 in New South Wales, with a focus on 2828 of these children with final court orders. It involved interviews with participating caregivers for children on final orders and standardised assessments for the children in their care as well as interviews for 7–17 year-olds, together with linked administrative data from a range of agencies for all 4126 children. Data for the interview cohort includes information on children's development, permanency and wellbeing while in care, tracking their physical health, socio-emotional wellbeing and cognitive development, as well as their experiences in care, and after they exit care to return home, or to guardianship and adoption. POCLS currently includes data from five waves of interviews with caregivers and the children in their care. This special issue includes articles that present findings from a range of analyses across various domains from the first four waves of the study. This introductory article outlines the Australian context of the study, its conceptual framework, design and methodology. Using a range of analytical approaches, the nine articles expose an array of issues, including children's developmental, socio-emotional and academic outcomes and trajectories (including reunification), associated with factors such as placement type, stability, pre-care maltreatment, disability, and age at entry to care, and caregiver stress. [ABSTRACT FROM AUTHOR]

There are rising numbers of infants entering out-of-home care due to child protection concerns. Research has found that infants entering care are at higher risk of developmental vulnerability and poor health problems. To determine the prevalence of developmental vulnerability for children who entered care as infants, and the extent and likelihood of service provision in relation to their developmental vulnerability. This study includes children who entered care before the age of 1 year for the first time between May 2010 and October 2011 in New South Wales, Australia, and who received final Children's Court care and protection orders by 30 April 2013. This is a prospective cohort study using interview data from the Pathways of Care Longitudinal Study (POCLS) as well as linked administrative child protection and health data. This study used standardised assessments (Age and Stages Questionnaire and the Brief Infant Toddler Social Emotional Assessment) included in the POCLS. Simple and multiple logistic regression analysis was conducted to investigate the likelihood of infants receiving professional services for developmental delays since placement. A high proportion of children who entered care as infants were identified as developmentally vulnerable through health indicators (36 %) and standardised assessments (70 %). Only 17 % of infants in care received services for developmental delay, with 20 % and 15 % of those identified as developmentally vulnerable through standardised assessments and health-related variables receiving services, respectively. The findings point to the importance of developmental assessment of infants in care and the identification of developmental vulnerability and delays. The provision of early intervention services is essential for this group of high-risk infants and will be important in optimising their health, as well as social and emotional outcomes. • A high proportion of infants in care were identified as developmentally vulnerable through health and standardised measures. • Only 17.5% of infants in care received services for developmental delay. • The majority of children identified by carers as diagnosed by a health professional were receiving services. [ABSTRACT FROM AUTHOR]

Good quality contact with birth parents is considered important to successful out-of-home care (OOHC) placements. There is, however, an absence of empirical evidence about contact needs of children in the OOHC system and how these needs change over time. The current analysis analyzed four waves of data from the Pathways of Care Longitudinal Study in Australia relating to 1507 children on yearly frequency of contact with mothers, relationship quality with mothers, and the extent that contact met the needs of the child. Group-based trajectory modelling was used to examine in what ways frequency of contact, child-mother relationships and child's needs for maintaining family contact were associated over time. The analysis showed a positive association between these three outcomes that also held true as the children aged, with five distinct patterns: (1) low frequency and poor relationship (low poor) (14.5 % of the sample); (2) moderate frequency and poor relationship (moderate poor) (30.3 %); (3) increasing frequency and improving relationship (improving) (19.8 %); (4) declining frequency and declining relationship (declining) (19.5 %); and (5) high frequency, good relationship (high good) (15.9 %). Care type, child demographics, child socioemotional wellbeing and unsupervised contact arrangements were significantly associated with trajectory group membership. These results can be used to inform policy and practice around contact and to better match the heterogenous contact needs for children in OOHC. [ABSTRACT FROM AUTHOR]

Children who enter out-of-home care ('care') are at increased risk for low academic achievement. Nonetheless, some children who have experienced out-of-home care achieve highly. Several qualitative studies of academically successful young adults with care histories have highlighted factors that may contribute to positive outcomes; however longitudinal cohort research is needed to identify characteristics and predictors of higher achieving younger children who experienced care. To describe characteristics and circumstances of children with higher reading achievement who had entered care, and predictors of higher achievement. The study included 778 children from the Pathways of Care Longitudinal Study (POCLS) in New South Wales, Australia. Prospective cohort data from interviews and linked administrative child protection and education data were used to identify factors associated with higher Year 3 reading achievement among Aboriginal and non-Aboriginal children that may assist in improving outcomes. Although a lower proportion than the general population, almost half (46 %) of children who entered care were in the higher achievement group. Higher achieving students were a diverse group and faced many adversities commonly found among children who experienced care generally. Multivariable logistic regression showed higher achievement in the cohort was significantly associated with: average or above cognitive ability, low externalizing behaviour, highly-educated carers, and non-Aboriginal students. Several supports and services were associated with higher achievement, but inconsistently across analyses. Results indicate potential interventions could target cognitive ability, wellbeing and environmental factors, and involve interventions directly with children and via carers to improve student outcomes. [ABSTRACT FROM AUTHOR]

Placement stability is an important indicator of the functioning of an out-of-home care system. Previous research suggests that frequent placement changes have a negative impact on the outcomes for children and young people in out-of-home care. This paper examines the association between placement stability in out-of-home care and children's socio-emotional, cognitive and physical health outcomes. The Pathways of Care Longitudinal Study (POCLS) is the first large-scale prospective longitudinal study of children in out-of-home care in Australia. The sample consists of any study child who participated in any of the first three waves of the POCLS interview. Unweighted data from the first three waves of the POCLS interview and administrative data was used. A measure of placement stability was developed that accounted for both number of placements and length of time in care. Mixed effect modelling was used to examine the link between placement stability and children's developmental outcomes. Placement stability was found to have a significant association with socio-emotional, cognitive (non-verbal) and physical health (gross and fine motor skill) development. A number of other factors were also found to be associated with positive development. The findings support the existing evidence that placement stability is an important factor for children's development. Other factors including placement type, carer wellbeing and carer support are also important for positive development. Appropriate policy and practice intervention to support children and families to improve placement stability is fundamental to achieving positive developmental outcomes for children in out-of-home care. [ABSTRACT FROM AUTHOR]

Concerns of maltreatment and poor outcomes persist in residential care despite numerous government inquiries and recommendations. Young people in residential care continue to be the most vulnerable and marginalized group in the out‐of‐home care population. Young people's voices are also underrepresented in research. Existing studies predominantly focus on service evaluations in which individual voices of young people are overshadowed by adults' perspectives. Other studies examine the perspectives of young people in out‐of‐home care as a homogenous population, limiting understandings of the subjective experiences of young people in residential care. This study focused exclusively on young people's lived experiences in Australian therapeutic residential care, utilizing interpretative phenomenological analysis. The young people in this study revealed experiences of peer victimization, ambiguous loss and uncertainty during transitions. These findings suggest that more work is required in order to provide safe and healing environments and experiences for young people in therapeutic residential care. Each individual voice captured in this study offers valuable insights into how residential care practitioners can strengthen practice to enhance protection, engagement, connection with families and leaving care support. [ABSTRACT FROM AUTHOR]

The term "Forgotten Australians" refers to adults who as children were placed in out-of-home care in Australia between 1920 and 1989. Following the Australian Government's apology to Forgotten Australians in 2009, the Federal and State Governments funded specific services to address the lifelong consequences of abuse and neglect inflicted upon Forgotten Australians. The impacts include difficulty forming and maintaining relationships, poor educational outcomes, unemployment, and poverty. The ability of service providers to engage Forgotten Australians and provide appropriate counselling has been given little research attention. This article reports on a survey of providers delivering counselling to Forgotten Australians regarding their knowledge and experiences in delivering services. Effective practice with Forgotten Australians requires knowledge of the history of Forgotten Australians, the uniqueness of the experiences of individual Forgotten Australians, and working within respectful relationships. The study highlights that preparing counsellors to work with Forgotten Australians requires specific training. IMPLICATIONS Service providers who work with Forgotten Australians (care leavers) require an understanding of the historical context in which Forgotten Australians experienced abuse and neglect while in institutions and out-of-home care. The compounding long-term impacts of institutionalisation affect Forgotten Australians in numerous ways, pointing to a need for targeted service delivery for this group. Key professional disciplines need to include knowledge and skills to work with Forgotten Australians (care leavers) in their curricula to promote best practice in conjunction with training across a range of services that promote service providers' understanding of the experiences of Forgotten Australians. Service delivery should be empowering, non-hierarchical, and encompass understandings of trauma and attachment. [ABSTRACT FROM AUTHOR]

Adolescents in the care of the state have complex developmental needs that include low academic attainment. The aim of this study was to describe the language and literacy profiles of adolescents (aged 13–19) in out-of-home care ('looked after children'). Mental health status, biopsychosocial history, and education and employment histories were also documented. Twenty-six adolescents were assessed by a speech and language therapist. Ninety-two percent had oral language skills below the average range on the Clinical Evaluation of Language Fundamentals: 4th edition, with 62% scoring two or more standard deviations below the mean. Ninety-two percent of participants scored below the average range on two or more subtests of the Test of Language Competence: Expanded edition. On the York Assessment of Reading Comprehension, 92% scored in the very low range and 65% were below-average on single-word reading. Fifty percent of participants reported a diagnosis/symptoms of depression and 54% reported a diagnosis/symptoms of anxiety. The correlation between oral language and literacy was modest but significant (r = 0.502; p ⩽ 0.05); no significant correlations were found between oral language, literacy and mental health status, suggesting that mental health problems are a comorbidity rather than a correlate of language and literacy difficulties. Language and literacy difficulties are highly prevalent in this population. Language disorders are likely to be undiagnosed in the context of significant mental health problems, and disrupted schooling and accommodation. Speech-language therapy scope of practice needs to include out-of-home care populations in order to foster developmentally appropriate language and literacy skills that maximize school success, both academically and socially. [ABSTRACT FROM AUTHOR]

Summary: Government and parliamentary inquiries into child protection have historically exerted a significant impact on policy and practice reform. Yet to date, there has been no analysis of the impact of such inquiries on programme and service supports for young people transitioning from out-of-home care (often termed leaving care). This article uses a content analysis methodology to critically examine and compare the findings of six recent Australian child protection inquiries (five at state and territory level and one Commonwealth) in relation to their discrete sections on leaving care. Attention is drawn to how the policy issue is framed including key terminology, the major concerns identified, the local and international research evidence cited and the principal sources of information including whether or not priority is given to the lived experience of care leavers. Findings: All six inquiries identified major limitations in leaving care legislation, policy and practice including poor outcomes in key areas such as housing, education and employment. There was a consensus that post-18 assistance should be expanded, and most of the reports agreed that greater attention should be paid to the specific cultural needs of the large number of Indigenous care leavers. Applications: Care leavers universally are a vulnerable group; leaving care policy should be informed by the lived experience and expertise of care leavers; governments have a responsibility to provide ongoing supports beyond 18 years of age, particularly in areas such as housing and education, training and employment [ABSTRACT FROM AUTHOR]

The rate of Indigenous child removal in Australia has been referred to as an epidemic. With numbers predicted to increase in the near to medium future exploring alternative ways to engage Indigenous children and families is critical. This article outlines the views of Indigenous practitioners collected as part of a doctoral study exploring the experiences of Aboriginal and Torres Strait Islander practitioners who undertake child protection work in Australia. Practitioner narratives were elicited by way of qualitative in-depth semi-structured interviews. The narratives of practitioners identify barriers in contemporary statutory child protection practices that may contribute to the disproportionate representation of Indigenous children in the statutory child protection system. Potential solutions offered by practitioners including cultural supervision for non-Indigenous practitioners are also outlined. The narratives of participants indicate that Indigenous practitioner-led policy, practice, training and programme design is critical to addressing the escalating rates of Indigenous child removal in Australia. [ABSTRACT FROM AUTHOR]

Whilst advancing outcomes for young people transitioning from out-of-home care is a national priority, no synthesis of Australian interventions that support their transition from care and into independence currently exists. The aim of this systematic scoping review was to examine the characteristics of such interventions delivered in Australia and to evaluate their impact. Papers were included if they assessed the extent to which transitional support interventions, delivered in Australia, improved housing, employment, education, financial, health, or social functioning outcomes. Eleven studies were included. Interventions primarily adopted a case management approach to support care-leavers' transition. Interventions facilitated improvements in care-leavers' independent living outcomes (e.g., housing, education, and financial stability), but less so in health outcomes. This synthesis provides guidance for how research organizations in partnership with community service organizations and statutory services should develop and deliver interventions to support young Australians transitioning from care. [ABSTRACT FROM AUTHOR]

• Mentoring literature contains diverse, but as yet unclassified, mentoring relationship types. • Mentoring for young people young people transitioning out of care must address specific contextual needs and barriers. • More attention is needed in mentoring literature on the policy context and the nature of the gender and power in mentoring relationships. In Australia, out-of-home care (OoHC) is provided to safeguard children and young people unable to live with their families. Typically, this care stops at 18 years of age, leaving many young people without the relational support to find employment and stable accommodation. Mentoring is increasingly proposed as a way to support young people exiting care, though the types of mentoring and contextual factors vary considerably. This rapid review aims to identify key features of mentoring programs that support young people in OoHC. This paper utilised a rapid review methodology to survey the academic literature on mentoring programs with young people in OoHC. The authors conducted literature searches in October 2022 using a search string designed to provide targeted exposure to the literature. Articles were limited by year and location, with the specific search string and limitations applied to the Scopus database, and Proquest and Informit platforms. Utilising literature, we identified five overlapping models for mentor–mentee relationships into a provisional typology of five categories based on varying levels of formality and familiarity in the relationships: 'formal', 'natural', 'near-age', 'peer', and 'therapeutic'. In doing so, we identified seven important features of mentor–mentee relationships: shared experiences, relationship duration, boundaries and other relationships, identity and self-worth, educational contexts, power and participation, and role modelling. We identified four issues relating to mentoring in OoHC that are informed by the needs and barriers experienced by young people: training and support for mentors, unique challenges faced by young people in OoHC, transition out of care, and the matching process. Lastly, we established what might impact mentoring programs buy critically reflecting on the policy context and notions of empowerment. This rapid review of mentoring programs for care-experienced young people seeking employment offers valuable insights to inform future programs. The findings highlight diverse and unclassified mentoring relationship types, the absence of anticipated gender-specific findings, a lack of examination of the policy context, and a need for more robust conceptualisations of empowerment. [ABSTRACT FROM AUTHOR]

• We compared kinship and foster care on child, caregiver, and relational variables. • Kinship and foster caregivers completed a five-minute interview and questionnaires. • Unexpectedly, families in kinship and foster care fared similarly on many variables. • 61% of children in care displayed clinically significant mental health concerns. • More accessible, targeted support for kinship and foster families is needed. Internationally, there is an increasing preference to place children in kinship versus foster care. While research suggests that kinship care might promote better child mental health and placement stability than foster care, less is known about how these placement types compare on other factors of significance to family wellbeing in out-of-home care, including caregiver-child relationship quality and caregiver strain. We aimed to examine potential group differences on these outcomes in a sample of 101 kinship (N = 30), foster (N = 35), and birth (N = 36) caregivers of 7- to 16-year-olds in Australia. Caregivers completed measures on child mental health (behavioral and emotional adjustment, affect regulation), caregiver-child attachment, and caregiver strain, and a Five-Minute Speech Sample interview regarding their relational schemas (e.g., attitudes and feelings) about their child. Results showed that kinship and foster care families fared similarly on levels of child mental health, caregiver relational schemas, caregiver-child attachment, and caregiver strain. However, both groups displayed significantly more challenges in these domains than the birth family comparison sample. Sixty one percent of children in kinship and foster care experienced clinically significant mental health problems, yet many families–particularly kinship care families–had not received adequate professional supports for these challenges. Our findings suggest that families in kinship and foster care experience similar relational and mental health challenges, though they may require services tailored to their unique circumstances. [ABSTRACT FROM AUTHOR]

This constructivist grounded theory study explored the concept of placement stability from the perspective of statutory kinship carers who self-identified as providing a stable kinship placement in Queensland, Australia. Twenty statutory kinship carers participated in semi-structured qualitative interviews. The study developed a substantive grounded theory of how Kinship Carers perceive a stable statutory kinship care placement and found six social processes that underpinned how the kinship carer felt, thought and acted. The core category was feeling connected. The five non-core categories were seeing the need, being constant, empathising with, championing for, and being aware and accepting of the kinship context. The study found no differences between familial and non-familial kinship carers perception of stability. It found that some of the categories were influenced when the kinship carer family identified as Australian Aboriginal or a preplacement relationship existed between the kinship carer and the child. The substantive theory developed by this study was applied to social worker practice in out-of-home care. [ABSTRACT FROM AUTHOR]

Child sexual exploitation (CSE) is a problem for children and young people living in out‐of‐home care (looked after children). As part of a broader action research project aiming to prevent both harmful sexual behaviour carried out by children and young people and CSE in out‐of‐home care, four focus groups were undertaken with 17 workers at three Victorian residential houses in 2017. The findings reported in this paper were generated through the research question: What do workers perceive as the key challenges in caring for children and young people vulnerable to CSE in out‐of‐home care? Three major themes were identified: (i) children and young people going missing from home; (ii) children and young people not identifying as victims; and (iii) frontline police response unhelpful when children and young people missing. The design of prevention and response strategies to combat CSE must take into account the challenges identified by workers to ensure the best possible sexual abuse prevention outcomes for children and young people living in residential care. 'What do workers perceive as the key challenges in caring for children and young people vulnerable to CSE in out‐of‐home care?' Key Practitioner Messages: Children and young people need to be educated about the tactics used by perpetrators so that they can recognise if they are being groomed or exploited.Residential staff need to be upskilled about how to respond to children and young people at the point that they are leaving the house for the purpose of CSE.Workers need to be empowered to make decisions about the day‐to‐day welfare of the children and young people in their care.Multiagency collaboration is vital in preventing and responding to CSE, and efforts should be upscaled across all local government areas. [ABSTRACT FROM AUTHOR]

This paper discusses two key strategies detailing how "relationship-focused" and "trauma-informed" intervention practices, which form the basis of an Australian therapeutic program called Treatment and Care for Kids (TrACK), made a difference in the lives of highly traumatised children. The TrACK program fosters highly traumatised children who, due to the complexity of their trauma needs, cannot be placed in traditional generalist foster care. Case files of 48 children were reviewed. Children were either current or former clients over a period of 18 years since the program was initiated. In analysing the data, we noticed that children who were once highly dysregulated in the domains of foster care placement, education, arousal regulation and peer relationships were now enjoying an enhanced level of stability in their lives. [ABSTRACT FROM AUTHOR]

As foster and kinship carers are central to the lives of looked after children, it is important to recognise their unmet needs and the impact of these on the caring task. This article explores these issues by applying a hierarchy of needs to the foster and kinship care context, drawing on the perspectives of those involved. A group of Australian foster carers (n = 52) and kinship carers (n = 16) were interviewed using the CUES-C, a 13-item questionnaire that collects both qualitative and quantitative responses with regard to carers' perceived needs and satisfaction. Thematic analysis was undertaken and participant responses were coded and organised according to the updated hierarchy of human motives proposed by Kenrick and colleagues (2010), based on Maslow's (1943) widely used hierarchy of needs. The findings support Lyubomirsky and Boehm's (2010) conclusion that parenting may interfere with the capacity to meet our other human needs and so has significant implications for the form of intensive parenting practised by foster and kinship carers. It was found that without the provision of timely and holistic supports and intervention, the two-way relationship between the needs of looked after children and their carers may create a feedback loop where stress and trauma can be endlessly amplified, to the detriment of both parties. The evidence highlights the importance of addressing both the needs of carers and those of the young people they look after, and suggests some basic improvements that could ease the burden of care and simultaneously increase satisfaction in the caring role. [ABSTRACT FROM AUTHOR]

This article reports the in-care and post-care experience of people who lived in Australian child-welfare systems as children from 1930 to 1989. The research utilised a mixed-methods design including surveys, interviews and focus groups, and the sample comprised over 700 care-leavers across Australia. This manuscript reports specifically on the experience of the British Child Migrant cohort within the study. Their experience was often characterised by oppressive child-rearing practices that paved the way for serious abuse of all types and gross neglect. The findings reveal that emotional, physical and sexual abuse perpetrated by predatory adults and by peers occurred frequently and concurrently. Educational neglect was pervasive, children being subject to hard physical labour from a young age. The consequences of maltreatment in care persist into adulthood. Despite resilience exhibited by many former child migrants, their mental health remained a serious concern. Implications of the findings for policy and practice are discussed. [ABSTRACT FROM AUTHOR]